TERRY ALLEN GANDER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004565

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

ALLEN

Last Name

GANDER

Business Name

TERRY ALLEN GANDER

Original Issue Date

11/15/2012

Effective Date

01/27/2014

Expiration Date

03/01/2016

City

NAUVOO

State

Zip

62354

County

HANCOCK

Ever Disciplined

LastModifiedDate

04/25/2016